AS SOON AS WE ASKED RACHEL'S MOTHER ABOUT FOOD SHE BROKE DOWN IN TEARSBy Jac Connell, Acting Country Director, Tiny Tim & Friends: A few weeks ago one of the social work team came to my office with a small child, Rachel (aged 2), who had been identified at the Clinic that day as HIV+ and at risk of TB. Weighing only 7.1kgs (15lbs), our counselor, Mwenda, was concerned about malnutrition and wanted to include Rachel on the list of patients who would benefit from our crowd funding campaign, should we be successful. She was incredibly tiny and I could tell from holding her that she had breathing problems and a persistent cough, a symptom we see often at the clinic and a primary indicator of TB. As with all of the patients we are considering supporting with nutrition the team usually sit with the family or undertake a home visit to assess what the household is like, how many people the individual lives with and what the income for the household is. As soon as we asked Elina, Rachel's mother, about food for the family she broke down in tears. She admitted that there was no food at home, as her husband was bedridden with TB and therefore had lost his job. They were totally reliant on her mother in law to provide food and often would survive on only one meal a day. RACHEL IS VULNERABLE. BEING UNDERWEIGHT PUTS HER AT RISK OF A NUMBER OF ILLNESSES WHICH COULD PROVE FATAL.Sadly, their story isn't particularly unique to us. They live in a two room house, sharing a pit latrine with their neighbors (17 people in total). Elina had never been to school as a child because her family couldn't afford it and therefore had never been able to get a job herself. Rachel's father is unable to work so they pay their rentals (approx $30 per month) through support from other family members.
Rachel has an older sister, who is 7 and in good health, but who has had to stop going to school after they could no longer pay the school fees. Rachel has been diagnosed with TB, but without food, both her and her father will struggle to take their medicine, recover and risk passing the disease to her mother. Having only recently started on HIV treatment, Rachel is in a vulnerable situation. Being underweight puts her at risk of picking up any number of illnesses which could prove to be fatal. We need all of our donors and supporters around the world to come together to support children like Rachel through our crowd funding campaign - by donating you will change a child's life:
0 Comments
PANJI IS DESPARATE TO FINISH SCHOOL BUT HAS NOT BEEN ABLE TO ATTEND FOR OVER 6 MONTHS DUE TO POOR HEALTH Sadly, sometimes patients come to TTF and from their appearance you immediately you know there is a major health problem. This was the case for 19 year old Panji when he was brought to the TTF Clinic earlier this year. Panji is 1.73m (5ft 8) and weighs only 42Kgs (92lbs). He is significantly malnourished and currently undergoing tests to see if he is suffering from Tuberculosis. His malnutrition, alongside HIV and suspected TB puts his health at significant risk, and without boosting his immune system just a small infection could prove fatal. Panji's parents died when he was just a child and he now lives in a one room house with 6 other people (his sister (pictured below), brother in law, and four nieces and nephews), sharing a pit latrine with 20 other people. Whilst food in the home is provided by Panji's brother in law, there isn't enough to support Panji in his current state and he is in desperate need of nutritional support. He needs your help to ensure he can go on to finish his education and lead a healthy, successful life. "I WANT TO FINISH SCHOOL SO I CAN BECOME A DOCTOR AND HELP OTHERS"Panji, was identified in the community by one of our teen mentors. He had previously been tested for HIV but wasn't yet ready to accept his status. Our staff have been working closely with him to provide him with medical advice and emotional counselling to prepare him to start on medication. But because of his late access to treatment he is incredibly sick and because of his poor health, he has been unable to attend school for the past 6 months. He desperately wants to complete his education so he can make something of his life and help others.
With the right medical, social and nutritional support Panji can go onto lead a healthy life, but we need your donations to support him and 49 other children and adolescents like him to reach our crowdfunding goal. So please consider pledging today and changing Panjis life around for the better! THERE IS AN AFRICAN PROVERB - IF YOU WANT TO WALK FAST WALK ALONE, IF YOU WANT TO WALK FAR, WALK TOGETHER...
Esther is a single mother to three small children, living in one of the most urbanely dense compounds in Lusaka. Having not finished school, her employment prospects are limited. She came to our attention when her youngest child, 3 year old Samson, was brought into the clinic suffering with various health issues, he was incredibly underweight for his age. Without a job or a source of income Esther was struggling to feed her children this is her story: "I don't have a partner so I am responsible for raising my children on my own. We live in a small house and as I don't have a job it can be a real struggle to pay the rent and also buy food for my children. I do small jobs for people to make money here and there but it isn't consistent. I have been coming to Tiny Tim & Friends for a while now with Samson. Because of the lack of food it has often been difficult to get Samson to take his medication as it makes him feel sick. He is little so doesn't understand why he needs to take his medication and can often become very emotional when he has to take it. Because of the lack of food he was beginning to lose a lot of weight. I felt bad but I didnt know what to do. One day when I came to Tiny Tim & Friends, Samson was weighed and measured and because he was underweight they told me they wanted to put him on a nutrition programme. That we would get weekly food packages and education about what he should be eating to stay healthy. Each week I came to the Clinic to pick up our food supplies, to check on Samson's progress and to get lessons from Noah on the best way to prepare food to keep the goodness in the ingredients.
I want to thank Tiny Tim & Friends and the people who made this possible. Samson is now very chubby and even my neighbours say he looks so much more healthy and energetic, which is something I didn't think I would see. "
Last week we successfully graduated 8 children out of our nutrition programme after just 3 months. All 8 of these children had gained such a great amount of weight and grown in height that they are now well within the healthy weight range on the BMI index.
Through our nutrition programme, not only have we been able to support these vulnerable children to gain weight and become healthy, but we have also provided their families and caregivers with nutritional support and education needed to ensure that can help their children to have a well balanced diet. The weekly food packages have also allowed families to make small savings in their weekly outgoings to support several of them in investing into their small businesses or paying for school fees. Thanks to the support of 34 donors who funded our CARINGCROWD CrowdFunding programe at the end of last year. Please stay posted for individual stories on each of these children. For more information about our nutrition programme and how you can get involved in us helping even more malnourished, vulnerable children to get healthy and get the education they need check out our programme page: Nutrition programme. As Tiny Tim & Friends grows in terms of patients, and the number activities we undertake to provide additional layers of support to those patients, we must also grow our support networks around the world. In Lusaka our community volunteers provide an essential part of our work in: helping us access individuals who would have been previously unknown to us; in allowing us to provide home based support to our patients across Lusaka; and in ensuring we can provide follow ups to everyone we test as HIV+ in order to ensure they are getting the right medical care and treatment they need to lead a healthy life. We specifically work with HIV+ women in the community to help support our work and to provide HIV awareness and sensitisation. Their personal insight into living with HIV and their understanding of the issues the communities are facing enables us to have a much greater impact on the lives of the children, adolescents and pregnant women we work everyday to support. One of our community volunteers is Margaret, 45, who after her diagnosis of being HIV+ decided she wanted to help others: “ I tested as HIV+ in 2004, I was scared at the time because I had three children and was worried they would also be HIV+. I knew a little bit about HIV but mainly that it could kill you and knew nothing about being able to live a healthy life. I got all of my children tested and they were all negative. I was put on ARV’s and started to learn more about HIV. After I understood more I decided I wanted to help other people who were HIV+ and help others to understand more about HIV. So in 2006 I started volunteering at George Clinic doing filing, helping with follow ups and monitoring the growth of malnourished children. Then one day a lady came to the clinic and told me about Tiny Tim & Friends and asked if I would be interested in volunteering with them to help identify HIV+ children and that is how I came to work with TTF.
My favourite part of working with TTF is when you find someone in the community, get them tested and they get enrolled into the clinic because I know then that they will have a better chance in life to be healthy. There are a lot of problems in the community which I see which can lead to increased HIV transmission or ill health for people living with HIV. There is no employment, people do peacemeal work selling vegetables, cleaning, collecting bottles but nothing consistent. The best job for a community member is a security guard but you need to be healthy so if you are HIV+ and not on treatment you can get sick a lot and then end up losing your job. Because people have little money to survive some people resort to crime, stealing from peoples homes. Alcoholism and substance abuse is an issue, especially for young men and women. They have nothing else to do so soon turn to substances for entertainment. This can lead to promiscuity or sexual assault for women. Additionally a lot of young women and children are assaulted by family members. People are afraid to report it to the police for fear of judgement that they have been out drinking or that their family member (who could be a wage provider) will go to prison and their family will suffer more. Its also not easy for young women to get condoms, vendors wont sell to them and they don’t feel empowered to ask a man to wear a condom in case they are accused of being promiscuous. I see a lot of teenage pregnancies because the girls are vulnerable. There are a lot of orphans in the community so they are also left vulnerable. The teenagers are the ones who need education the most, to understand the importance of safe sex. And for young girls to be empowered and feel confident to insist on safe sex. In Zambian culture that is a difficult thing to overcome. There is also a lot of education needed on the dangers of stopping medication once you have started it. And the importance of talking to your health care provider if you are experiencing side effects. A lot of the time in the community if someone is HIV+ and gets sick people can stop caring for them as they expect them to die but that isn't the case any more with medicine. People need educated around this. I try and talk to 2-3 people every day, I tell them I am HIV+ and they are surprised as I am healthy – they have a lot of questions about medication and side effects. A lot of people are also afraid of getting tested but when I tell them I am HIV+ they feel a lot more comfortable, and a lot less fearful that it means an early death. I want to go back to school so I can continue to work with TTF and do even more work with them to support HIV+ individuals in the community – to help children and families to be less fearful and ashamed and to be rid of the stigma that exists around HIV so that people can lead more open lives and transmission is reduced. Since I found out I was HIV+ I have also had another child who is very healthy so I know it is possible to lead a healthy normal life with the right treatment and support, like TTF provide. I want others to have the same opportunities I have. “ We want to share with you the story of just one of the children, whose life has been changed thanks to everyone who donated, through CARINGCROWD, to our Nutrition programme. Gladys is 6 years old and was brought to the Tiny Tim & Friends Clinic last year by her grandmother who was concerned with a persistent cough and considerable weight loss. Upon testing it was discovered she was HIV+. Gladys weighed just 12kgs (26lbs) putting her below the 1st percentile on the BMI index and classifying her as considerably underweight. Thanks to the donations of 34 people through CARINGCROWD, we were able to enroll Gladys into our Nutrition programme. After only one month on the programme Gladys had gained 4kgs (almost 9lbs) and now is considered as a very healthy weight (at the 78th percentile on the BMI index). We spoke to her Grandmother, Janet, about the impact the food support and nutritional advice is having for her family: "I have cared for Gladys for most of her life, as both of her parents have died. I own the family home but we live there with 15 other family members, selling vegetables to make money for food - usually making about 300 kwacha a week to feed the entire family (less than $30).
I took Gladys to the TTF clinic as I was worried about her weight and after speaking to a woman in the community thought she may be HIV+. The food we have been getting from TTF helps so much. Before we could only feed Gladys at breakfast and in the evening and now she has 3 meals a day and snacks. The food is also helping with her taking her medication which was previously making her sick when she took it without eating. We have always tried to make her go to school but since she has become sicker she was missing more and more. Now she has gained weight and is managing on her medication better so is going back to school. The nutritional talks are also helping me in thinking about how to care for Gladys and prepare her meals - I have also been sharing this with my daughters and supporting my other grandchildren with this knowledge. I am too thankful to this support and I try and encourage the younger mothers in the programme to think about how they are using the food to help their children gain weight and become more healthy like Gladys." Gladys is just one of the children we are seeing significant changes in due to the nutritional support and education their families are receiving. Without your donations this would not have been possible. So thank you and please watch out for more updates on the children you are helping. Ever since I was in my early 20’s I have wanted to work in development. But getting into development is tough, people tell you to get practical experience, to get a masters, to learn another language, get a skill or trade, to forget about a skill get policy knowledge, to volunteer, to network. There is no clear path in which to take – I worked for several different charities in the UK and eventually back in 2012 I decided I wanted to get practical experience in a developing country so applied to volunteer through VSO, and after a fast 5 months was on my way to Zambia. |
FOLLOW US:
archives
February 2024
Categories
All
|